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� �`9 <br />�� <br />11 �� <br />PHONE: <br />TAX PARCEL I.D.p <br />PUBLIC WORKS <br />PERIVI I'P <br />PUBLIC WORKS DEPARTMENT • <br />3200 Cedar Stmel � <br />Evereit, WA 98201 <br />(425) 257-8810 <br />- :'; � �_�,I _ . . .. <br />_ .... _:TT :iR 1 �L - <br />_ ,._ �:�np�� � 5'±i <br />_ 6',ryl� <br />' i. ..,,.. . �. <br />DESCfiIPTION OF <br />PHOPOSED WORK: . . . . � ...� _ , _ . - _ � ' <br />i <br />PERMIT CONDITIONS <br />PHONE <br />PR0.IECTAD�RESS: <br />Date <br />Public WorY.s Permit N ���,>C. �—� <br />Building Permit # <br />Planning Reference X <br />Public Works Fee S <br />Guarantce S <br />! �^� �OST��G..JUL 1 6 2007 <br />'.��' . <br />1. All calls for inspection shall Ge made 24 hours in advance. <br />2. All work shail be performed in accordance wilh this permit and current City of Everett Design and Consiruction <br />Stanc�rd� 2r�d Specilications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-8L0-424-5555 <br />.�_�11llc_l ..�:L�.r ,._ ..:_}�v1L9 �_ ?.11_ C�ILi>i: ' . <br />-n::C:�1.1 a,rn::i�:n c_�nrroi neaflures :a:; de+.. <br />'�i.'Jt SE;1C•,�r 8t.[36� 1J81�3� 3':a:�jE�?� nC •?2��"',.. t I;i'.i.r'.. .. <br />' j_LC� Cu�1�� �G''.:9 pL �@i'Jill!1 !_�j fi� tC�l'�i9�1 np}_n rni�lc•.... <br />�':din�� tftdTeCld�3 LO t:c' Bii!'Y:2�j p11 31�]e`_: <br />. DF:��;r:7.:ii1 rYIVNl. <br />: etzlfoC iflt+t:�i- t�p:< �" lyiriVP S.r:,.-� ,. <br />i -- -- -- ACKNOWLEDGEMENTOFCONDITIONS <br />The undersigned o�.vnedapplicant hereby agrees lu hold and <br />/ save harmless the Giry of Everell lmm any and all claims for <br />f fl� ` � � damages, costs, expenses, or causes oi action Ihat may arise <br />Approve or Constmction Dat beCause of installation and mainlenance of the improvemeni or <br />other righbo6way use herelo applied lor and funher agrees to <br />� �� �� �— � Z•—�� remove same upun notice from ihe City and �o replace public <br />�, FlNAL iNSP ION propetly damaged �hereby. <br />Approved as Constmcled �alo � � /� /G�( l/'l C <br />IJ�/ �� � L/ <br />/ <br />SiqnaN of Appli ni te � <br />� <br />WORKAUTHORIZED BY THIS PERMIT MUST BE STAR7ED WITHIN 180 DAYS OF DATE PERMIT IS ISSUEDAND THEREAF(ER IS TO E3E DILIGEP1iLY PURSUED <br />TO C01dPLETiON. THIS PERMIT AtAY �E CANCELL[D BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />E�Y.'PIi�Onl DATApAR, WG. <br />W <br />� <br />V� <br />W <br />0^ <br />/ <br />Z <br />� <br />� <br />� <br />O <br />a <br />